A case of penile oedema following a prolonged sexual intercourse is discussed

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We describe 2 patients of pachydermoperiostosis with the "complete" form of the disease. We report these cases to highlight the clinical features of this rare disorder; and discuss certain social problems related to its disfiguring consequences.

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A case of dermatitis artefacta in a 1½ year old boy induced by the mother of the child is presented.

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Total 16440 patients attended the STD clinic during the 10 years period of study from 1984 to 1993. From 1988 number of STD caes were gradually decreasing probably due to less promiscuity in fear of AIDS and different measures taken to prevent transmission of HIV infection. But it does not lessen the importance of STD control, because syphilis is still prevalent (8%) with congenital syphilis. Peak in the incidence of chancroid (15%) is alarming as this may lead to increased transmission of HIV infection in near future. Male unmarried constituted the bulk of STD sufferers (44%) and married males (34%), while female unmarried and married patients were 1% and 20% respectively, 5.7% of antenatal mothers were strongly seroreactive for syphilis. Therefore all antenatal mothers should be screened for STD and routine serological test for syphilis should be done.

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Patch and photopatch testing was performed on 55 patients with history of photosensitivity using Scandanavian photo patch test antigens obtained from Chemotechnique Diagnostics AB Sweden. The commonest reactions were seen to perfume mix 4 (21.0%), PABA 3 (15.78%), promethazine hydrochloride 3 (15.78%), chlorpromazine hydrochloride 3 (15.78%), balsam of peru 2 (10.52%), usnic acid, hexachlorophane, musk ambrette and 6 methyl coumarin showed 1 positive reaction each (5.26%) suggesting either phototoxicity or photo sensitization. Patch and photo patch test positive reaction suggesting allergic sensitisation was seen to balsam of peru 3 (23.0%) perfume mix 3 (23.0%) promethazine hydrochloride 2 (15.3%) and PABA, 6 methyl coumarin, tribromosalicylanilide, atranorin and wood mix showed positive reaction in one case each (7.69%). We conclude that photoxic or photo allergic reaction is a problem in India and patch photo patch test should be performed in all cases of idiopathic light eruptions to rule out photo sensitisation and in cases where photo sensitivity of exogenous origin is suspected.

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A middle aged woman with secondary syphilis-diagnosed clinically and serologically was prescribed oral tetracyline. She did not complete the course of treatment. Recurrent mucosal erosions in the mouth she developed subsequently as manifestation of relapsing secondary syphilis were wrongly diagnosed as 'aphthous stomatitis' and were treated with betamethasone gargling. The erosions progressed to ulcerations and finally resulted in perforation of the soft palate.

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We report the first Indian family of Mal De Meleda type of Palmoplantar Keratoderma (PPK). Three sisters born of a consanguinous marriage showed features of Mal De Meleda type of PPK. The diagnosis was confirmed clinically.

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Three cases of hereditary sensory neuropathy are reported. Two of them belong to same parents with family history of this disease.

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This double-blind randomised parallel-group study comparing the efficacy and side effects of minocycline with that of cotrimoxazole in chancroid, had 56 analysable cases, 28 in each group. All admissible cases were assessed clinically on a scale of 0 to 3 for number and size of ulcers, pain, discharge, surrounding erythema and bubo. Each drug individually showed significant improvement in all clinical parameters. Minocycline showed significantly better improvement than cotrimoxazole in all parameters. Minocycline had 43% cure rate, and no failures, against 36% cure and 25% failure for cotrimoxazole. Both the drug were well tolerated. We conclude that minocycline is a superior alternative to cotrimoxazole in the therapy of chancroid.

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An infant presented with thick erythematous plaques having central necrosis, situated over cheeks and wrists. On the basis of clinical features and histology, diagnosis of lupus erythematosus panniculitis (LEP) was made. Lesions responded well to systemic steroids. To our knowledge, cases of LEP in this age group have not been reported earlier.

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A young female developed laxily, wrinkling and atrophy of the skin of both eyelids of 2 years duration. This was preceded by numerous self-limiting attacks of painless oedema of both eyelids, starting at the age of 8 years. These episodes were more frequent in summer months and after exposure to sunlight. There was no other associated abnormality.

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26 years old male presented with two large plaques of lupus vulgaris and a lesion of tuberculosis verrucosa cutis on the right thigh and foot, respectively. Both the lesions were confirmed by histopathological examinations.

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One 8 year female child had asymptomatic, anaesthetic, hypohidrotic, atrophic, yellowish, waxy plaque on the front of left thigh since 2 months. No nerve thickening was observed clinically or histopathologically. Hyperkeratosis, follicular keratosis, epidermal atrophy, degeneration of collagen, mononuclear granulomas and perivascular mononuclear infiltrate confirmed the clinical diagnosis of atypical necrobiosis lipoidica.

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A case of progressive symmetric erythrokeratoderma (PSEK) associated with symmetric syndactylism is being reported. The interesting feature being the first time description of any association with PSEK.

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Widespread multisegmental Herpes zoster of left side of body in a 12 years nonimmunocompromised female is reported due to its rarity. She had no pain. She had burning in left arm and asymptomatic lesions on left trunk and leg.

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A case of Papillon-Lefevre syndrome is reported in a six years old boy. He had early loss of deciduous teeth with periodontosis, palmoplantar keratoderma extending on to the pressure points of the body, hepatosplenomegaly and congenital hydrocele.

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A 13-year old girl with pre-existing alopecic plaque of naevus sebaceous over the scalp showed secondary development of syringocystadenoma papilliferum at around puberty, which was confirmed by histopathological study.

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A 16 year old male patient presented with typical lesions of linchen planus in zosteriform pattern. The lesions resolved with oral metronidazole.

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